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Percutaneous closure of ventricular septal defects in 116 patients : experience with different devices
Other Title(s)
إغلاق ثقوب الحاجز البطيني عبر الجلد في 116 مريضا : تجربة استخدام وسائل إغلاق مختلفة
Joint Authors
al-Farqani, Abd Allah
al-Maskari, Salim
Dimitrov, Boris
al-Sunaydi, Khalfan Salim
Thomas, Eapen
Source
Sultan Qaboos University Medical Journal
Issue
Vol. 20, Issue 4 (30 Nov. 2020), pp.352-359, 8 p.
Publisher
Sultan Qaboos University College of Medicine and Health Sciences
Publication Date
2020-11-30
Country of Publication
Oman
No. of Pages
8
Main Subjects
Abstract EN
Objectives: This study aimed to review the experience with percutaneous closure of ventricular septal defects (VSDs) at the National Heart Center (NHC) in Muscat, Oman.
Methods: This retrospective study was conducted from November 2008 to December 2017.
Patients’ electronic medical records were reviewed to identify their clinical, imaging and interventional data before and after the procedure and on the last followup.
Results: A total of 116 patients, the majority of which were female (58%), underwent 118 percutaneous procedures for VSD closure at a median age of 3.54 years (range: 0.25–33 years) and a median weight of 12 kg (range: 3.5–78 kg).
The mean diameter of the VSDs as determined by transoesophageal echocardiogram was 5.6 ± 1.9 mm (n = 105).
The commonest type of VSD was perimembranous (n = 75, 63.5%).
Devices were successfully placed during 111 (94.1%) procedures in 109 (94.0%) patients, with the commonest device being a Amplatzer™ duct occluder I (St.
Jude Medical, Little Canada, Minnesota, USA; n = 39, 35.1%).
There was no mortality.
Early major cardiac complications occurred in six patients (5.5%) with device embolisation being the commonest (n = 4, 3.7%).
The median follow-up period was 19 months (range: 1–84 months) in 89 (81.7%) of the patients.
One patient (0.9%) required a permanent pacemaker for a complete heart block.
Conclusion: This study has demonstrated a good rate of VSD closure with low morbidity and no mortality using the percutaneous approach with different devices.
Long-term follow-up is needed to specifically evaluate the function of adjacent structures and the long-term effects on conduction systems.
American Psychological Association (APA)
al-Sunaydi, Khalfan Salim& al-Maskari, Salim& Thomas, Eapen& Dimitrov, Boris& al-Farqani, Abd Allah. 2020. Percutaneous closure of ventricular septal defects in 116 patients : experience with different devices. Sultan Qaboos University Medical Journal،Vol. 20, no. 4, pp.352-359.
https://search.emarefa.net/detail/BIM-1343673
Modern Language Association (MLA)
al-Sunaydi, Khalfan Salim…[et al.]. Percutaneous closure of ventricular septal defects in 116 patients : experience with different devices. Sultan Qaboos University Medical Journal Vol. 20, no. 4 (Nov. 2020), pp.352-359.
https://search.emarefa.net/detail/BIM-1343673
American Medical Association (AMA)
al-Sunaydi, Khalfan Salim& al-Maskari, Salim& Thomas, Eapen& Dimitrov, Boris& al-Farqani, Abd Allah. Percutaneous closure of ventricular septal defects in 116 patients : experience with different devices. Sultan Qaboos University Medical Journal. 2020. Vol. 20, no. 4, pp.352-359.
https://search.emarefa.net/detail/BIM-1343673
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 358-359
Record ID
BIM-1343673